42 CFR Part 510
PART 510—COMPREHENSIVE CARE FOR JOINT REPLACEMENT MODEL
- PART 510—COMPREHENSIVE CARE FOR JOINT REPLACEMENT MODEL
- Chapter IV—Centers for Medicare & Medicaid Services, Department of Health and Human Services › Subchapter H—Health Care Infrastructure and Model Programs
- Subpart A—General Provisions
- § 510.1 Basis and scope.
- § 510.2 Definitions.
- Subpart B—Comprehensive Care for Joint Replacement Program Participants
- § 510.100 Episodes being tested.
- § 510.105 Geographic areas.
- § 510.110 Access to records and retention.
- § 510.115 Voluntary participation election.
- § 510.120 CJR participant hospital CEHRT track requirements.
- Subpart C—Scope of Episodes
- § 510.200 Time periods, included and excluded services, and attribution.
- § 510.205 Beneficiary inclusion criteria.
- § 510.210 Determination of the episode.
- Subpart D—Pricing and Payment
- § 510.300 Determination of episode quality-adjusted target prices.
- § 510.301 Determination of reconciliation target prices.
- § 510.305 Determination of the NPRA and reconciliation process.
- § 510.310 Appeals process.
- § 510.315 Composite quality scores for determining reconciliation payment eligibility and quality incentive payments.
- § 510.320 Treatment of incentive programs or add-on payments under existing Medicare payment systems.
- § 510.325 Allocation of payments for services that straddle the episode.
- Subpart E—Quality Measures, Beneficiary Protections, and Compliance Enforcement
- § 510.400 Quality measures and reporting.
- § 510.405 Beneficiary choice and beneficiary notification.
- § 510.410 Compliance enforcement.
- Subpart F—Financial Arrangements and Beneficiary Incentives
- § 510.500 Sharing arrangements under the CJR model.
- § 510.505 Distribution arrangements.
- § 510.506 Downstream distribution arrangements.
- § 510.510 Enforcement authority.
- § 510.515 Beneficiary incentives under the CJR model.
- Subpart G—Waivers
- § 510.600 Waiver of direct supervision requirement for certain post-discharge home visits.
- § 510.605 Waiver of certain telehealth requirements.
- § 510.610 Waiver of SNF 3-day rule.
- § 510.615 Waiver of certain post-operative billing restrictions.
- § 510.620 Waiver of deductible and coinsurance that otherwise apply to reconciliation payments or repayments.
- Subparts H-J [Reserved]
- Subpart K—Model Termination
- § 510.900 Termination of the CJR model.
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